| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
4,084 |
3,206 |
$3.61M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,185 |
4,163 |
$268K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,144 |
3,616 |
$257K |
| A0425 |
Ground mileage, per statute mile |
10,219 |
8,025 |
$159K |
| A0398 |
Als routine disposable supplies |
1,270 |
1,163 |
$6K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
58 |
51 |
$2K |